Abstract
OBJECTIVE: To examine the characteristics of foreign-born people with tuberculosis (TB) in Southern Florida, their contribution to the total number of TB cases, and available data on their HIV status as well as to determine the number of cases detected by the overseas medical screening of immigrants and refugees. METHODS: The authors reviewed TB cases reported by Broward, Dade, and Palm Beach counties in 1995. Case records were matched against the CDC Division of Quarantine database of immigrants and refugees suspected to have TB at the time of visa application overseas. RESULTS: Nearly half (49%) of TB cases in the three counties were among people born outside the United States--34% in Broward County, 58% in Dade County, and 40% in Palm Beach County. A high percentage (26%) were co-infected with HIV. Of those with known date of arrival, 68% had been in the United States for five or more years. Only three cases had been identified by overseas immigrant screening. CONCLUSIONS: A low percentage of TB cases in foreign-born people were identified through the overseas screening system. Controlling TB in South Florida will require efforts targeted toward high risk populations, including people with HIV infection.
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Selected References
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- Asch S. M., London A. S., Barnes P. F., Gelberg L. Testing for human immunodeficiency virus infection among tuberculosis patients in Los Angeles. Am J Respir Crit Care Med. 1997 Jan;155(1):378–381. doi: 10.1164/ajrccm.155.1.9001340. [DOI] [PubMed] [Google Scholar]
- Barnes P. F., Bloch A. B., Davidson P. T., Snider D. E., Jr Tuberculosis in patients with human immunodeficiency virus infection. N Engl J Med. 1991 Jun 6;324(23):1644–1650. doi: 10.1056/NEJM199106063242307. [DOI] [PubMed] [Google Scholar]
- Onorato I. M., McCray E. Prevalence of human immunodeficiency virus infection among patients attending tuberculosis clinics in the United States. J Infect Dis. 1992 Jan;165(1):87–92. doi: 10.1093/infdis/165.1.87. [DOI] [PubMed] [Google Scholar]
- Raviglione M. C., Snider D. E., Jr, Kochi A. Global epidemiology of tuberculosis. Morbidity and mortality of a worldwide epidemic. JAMA. 1995 Jan 18;273(3):220–226. [PubMed] [Google Scholar]
- Zuber P. L., Binkin N. J., Ignacio A. C., Marshall K. L., Tribble S. P., Tipple M. A., Vogt R. L. Tuberculosis screening for immigrants and refugees. Diagnostic outcomes in the state of Hawaii. Am J Respir Crit Care Med. 1996 Jul;154(1):151–155. doi: 10.1164/ajrccm.154.1.8680671. [DOI] [PubMed] [Google Scholar]
- Zuber P. L., McKenna M. T., Binkin N. J., Onorato I. M., Castro K. G. Long-term risk of tuberculosis among foreign-born persons in the United States. JAMA. 1997 Jul 23;278(4):304–307. [PubMed] [Google Scholar]